Image of the Week: Fever and Swollen, Erythematous Nodules in the Fingers

A 70-year-old man with a history of hypertension presents with a fever and severe pain in both hands. Examination reveals swollen, erythematous, and tender nodules on the joints of his fingers. Arthrocentesis demonstrates negatively birefringent urate crystals in the synovial fluid.

Which treatment option would most likely exacerbate this patient’s condition? Learn more about this case, take the quiz, and join the conversation on Figure 1.